Ascension Saint Thomas Hickman
135 E Swan St, Centerville, TN · Ascension · · NPI 1245275254
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $375.10 – $1,613.01 | 15 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | not published | not published | $31.58 – $135.44 | 15 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | not published | not published | $31.58 – $135.44 | 15 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $37.51 – $135.44 | 15 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | not published | not published | $31.58 – $135.44 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | not published | not published | $46.18 – $71.83 | 11 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $128.34 – $300.95 | 10 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $128.34 – $300.95 | 10 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $31.58 – $135.44 | 15 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | not published | not published | $31.58 – $135.44 | 15 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $118.23 – $161.98 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $375.10 – $1,613.01 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $115.46 – $496.67 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $236.69 – $826.26 | 15 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | not published | not published | $38.56 – $165.93 | 15 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | not published | not published | $38.56 – $165.93 | 15 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | not published | not published | $38.56 – $165.93 | 15 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | not published | not published | $76.59 – $329.59 | 15 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $128.37 – $496.67 | 15 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $26.30 – $91.42 | 15 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $38.48 – $126.53 | 4 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $20.72 – $43.89 | 6 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Infuse radioactive materials CPT 77750 | not published | not published | $115.68 – $306.82 | 11 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $41.14 – $51.43 | 6 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | not published | 0 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $119.74 – $119.74 | 1 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $152.16 – $152.16 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $84.02 – $84.02 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | not published | not published | $108.65 – $135.82 | 6 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $45.00 – $2,225.50 | 3 |
| Inj dx for sinogram CPT 20501 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection eye drug CPT 67028 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection for hip x-ray CPT 27095 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection into brain canal CPT 61026 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection into brain canal CPT 61055 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection into spinal artery CPT 62294 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Injection into vocal cord CPT 31513 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Injection jugular CPT 36299 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection of sinus tract CPT 20500 | not published | not published | $45.00 – $2,225.50 | 3 |
| Injection px peyronie ds CPT 54200 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | not published | not published | $87.00 – $87.00 | 1 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | not published | not published | $87.00 – $87.00 | 1 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | not published | not published | $87.00 – $87.00 | 1 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | not published | not published | $87.00 – $87.00 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection treatment of eye CPT 66030 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection treatment of nerve CPT 64605 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection treatment of nerve CPT 64610 | not published | not published | $954.50 – $1,004.50 | 3 |
| Injection treatment of nerve CPT 64681 | not published | not published | $1,185.00 – $1,246.50 | 3 |
| Injection treatment of nose CPT 30200 | not published | not published | $954.50 – $1,004.50 | 3 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $45.00 – $2,225.50 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $45.00 – $2,225.50 | 3 |
| Inject/treat eye socket CPT 67505 | not published | not published | $954.50 – $1,004.50 | 3 |
| Inject/treat eye socket CPT 67515 | not published | not published | $954.50 – $1,004.50 | 3 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $954.50 – $1,004.50 | 3 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $954.50 – $1,004.50 | 3 |
| Inj for ext venography CPT 36005 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $954.50 – $1,004.50 | 3 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $45.00 – $2,225.50 | 3 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $45.00 – $2,225.50 | 3 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | not published | not published | $1,468.50 – $1,543.50 | 3 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $3,006.00 – $3,160.00 | 3 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj proc for lymphang CPT 38790 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj proc sialogram CPT 42550 | not published | not published | $2,118.00 – $2,225.50 | 3 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $2,118.00 – $2,225.50 | 3 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.